| NPI | 1033146378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 0160431) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 0160431) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: NY 0160431) | |
| 103TC0700X Psychologist, Clinical (Licence: NY 0160431) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 0160431) | |
| 103TS0200X Psychologist, School (Licence: NY 0160431) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2007-07-08 |